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Online Resumes with "hmo"



Claims Adjuster - 20 Years of Experience

Well-regarded professional who combines claims benefits administrative regulatory compliance data collection and case management experience with strong customer service skills to illustrate value and competence. Ensure complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes. * Confident and poised in interactions with individuals at all levels of the organization. Work effectivel...

Tags for this Online Resume: Benefits, Long Term Care, Microsoft Access, Customer Service, Management, Medical, Compensation, Computer Aided Software Engineering, Inventory, Risk Management, insurance, customer service, group health benefits

Application Support

SUMMARY: Detail orientated, hardworking, dedicated Professional with over 25 years of Health Care experience with FACETS, AMISYS 3000, AMISYS Advanced configuration and testing, troubleshooting Claims, 10 years of building products and benefits, and 5 years configuring pricing which includes 3 years of NetworX . Demonstrated strengths include strong analytical skills and complex problem solving capabilities: Works well with...

Tags for this Online Resume: FACETS, Call Center, Insurance, Test, Test Plans, Benefits, Pricing, Test Cases, Acceptance Testing, Business Requirements

Sr Project Manager Healthcare Construction - 20 Years of Experience - Near 34997

To build highly functional and cost effective hospitals, healthcare and research facilities. To integrate advanced medical technologies. Engaged to provide Owner's, Architect's and Builder's with clear guidance on the means, methods and techniques required to successfully complete healthcare projects. Lend expert help reviewing designs, understanding functional requirements, interpreting healthcare codes, knowing medical eq...

Ideal Companies: Hospitals, Hospital Builders

Tags for this Online Resume: Infection control, Engineering, Diagnostic Imaging, Hospital Planning & Construction, Clinical Laboratory Planning & Construction, Research Laboratory Planning & Construction, Medical Equipment Planning & Installations, Construction Managemnet, Project Manager, Functional Programming, Capital Budgets, Scheduling & Timelines, Quality Assurance / Quality Control (QA/QC), Commissioning, Client Relations & Management, Leadership, Mentoring, Successful Outcome, Operating Rooms, Special Procedure Rooms, Therapy, Healthcare, Research Equipment

Sales Manager - 20 Years of Experience - Near 75025

Tags for this Online Resume: Outsourcing, Business Development, Business Development Manager, HP, Infrastructure, Management, ROI, Sales, Benefits, Business Intelligence

Billing/Coding Specialist - 20 Years of Experience - Near 10475

SUMMARY Specialist with HMO Insurance and Contracts, Workmen's Compensation, No-Fault and Third Party and Commercial Insurance. Collections Manager. Knowledgeable of Human Resources and Hospital Policy and Procedures.

Tags for this Online Resume: Medical, Obstetrics, Coding, Benefits, Human Resources, outpatient physical therapy, healthcare, physical therapy, outpatient rehabilitation

Registered Nurse

Ideal Companies: Ensign, Rehab, 1966

Tags for this Online Resume: Medical, Account Management, Management, Administrative Tasks, BLS

Billing/Coding Specialist

Tags for this Online Resume: Coding, Medical, Billing, Health Insurance, Insurance, Medical Records, Risk Assessment, Vitals, Documentation, 3M

Quality Assurance Director

Tags for this Online Resume: C Programming Language, Hepatitis, Hepatitis C, HIV, PHP Programming Language, Surveys, Managed Care, Management, Patient Counseling, Cardiovascular

Featured Profile

10 years Legal Analyst - Contract Negotiation and Compliance

A position which allows me develop the employees within my department to be open-minded to new ideas and brainstorming while independent thinkers; have the opportunity to be part of a team that is building a stronger tomorrow while utilizing my skill for logic and analyzing issues with a company that rewards strong work ethic and loyalty.

Ideal Companies: IBM, General Food, Rocky Mountain HMO

Tags for this Online Resume: Legal Analyst, Client Service, Project Management, Compliance, Advisor, Leader, Resource, Strong advocate, Project Manager, Real Estate

System Administrator - 15 Years of Experience - Near 80234

Ideal Companies: GE Health, HealthCare, IBM Watson

Tags for this Online Resume: Cardiology, Cognos, Core Based Trees, Data Warehouse, EEG, EKG, Enterprise Data Warehouse, Information Technology, Inventory, Medical

Featured Profile

Seasoned LPN Leader

Patient-centered medical professional with 20+ years experience including correctional settings, adult/teen addictions, mental health, senior populations and adult inpatient psychiatric units seeking my next challenge.

Ideal Companies: Kaiser-Permanente, Legacy Health

Tags for this Online Resume: Epic Go Live Experience, Quality, Service Excellence, Quality of Service, Collaboration, Problem Solving, Epic Super User, Epic Assistant Class Trainer, Epic Go Live On site Support, Analytical Thinking, Prioritization, Excellent Interpersonal Communication